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腺样体非轮廓化切除术与轮廓化切除术的对比分析

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目的 对比分析腺样体非轮廓化切除术与轮廓化切除术的应用效果.方法 非随机选取2022年8月—2023年12月广州中医药大学茂名医院收治的100例腺样体肥大需切除的患儿作为研究对象,按照治疗方法不同分为两组,各50例.对照组采用轮廓化切除术,观察组采用腺样体非轮廓化切除术,比较两组患儿手术相关指标、睡眠呼吸功能、并发症发生情况.结果 观察组手术时间、术中出血量、住院时间优于对照组,差异有统计学意义(P均<0.05);观察组正常通气时间与对照组相比,差异无统计学意义(P>0.05).术后5 d,观察组低通气指数少于对照组,但差异无统计学意义(P>0.05).观察组并发症总发生率为6.00%(3/50),低于对照组的14.00%(7/50),差异有统计学意义(χ2=4.000,P<0.05).结论 腺样体非轮廓化切除术能减少术中出血量,缩短手术时间,减少术后并发症发生率,比轮廓化切除术更具优势.
Comparative Analysis of Adenoid Non-profiling Resection and Contouring Resection
Objective To compare and analyze the application effect of adenoid non-contour resection and contour re-section.Methods From August 2022 to December 2023,100 children with adenoidal hypertrophy who needed to be resected in Guangzhou University of Traditional Chinese Medicine Maoming Hospital were non-randomly selected as the research objects.They were divided into two groups according to different treatment methods,50 cases in each group.The control group was treated with contour resection,and the observation group was treated with adenoid non-contour resection.The operation related indexes,sleep respiratory function and complications were compared between the two groups.Results The operation time,intraoperative blood loss and hospitalization time of the observation group were better than those of the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the normal ventilation time between the observation group and the control group(P>0.05).At five days after operation,apnea-hypopnea index in the observation group was less than that in the control group,but the difference was not statistically significant(P>0.05).The total incidence of complications in the observation group was 6.00%(3/50),which was lower than 14.00%(7/50)in the control group,and the difference was statistically signifi-cant(χ2=4.000,P<0.05).Conclusion Adenoid non-profiling resection can reduce intraoperative blood loss,shorten operation time,and reduce the incidence of postoperative complications,which is more advantageous than contouring resection.

Adenoid bodyNon contouring resection surgeryContouring resection surgeryPlasma ablationHypoventilation index

李杰才、黄晓莲、温柏林

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广州中医药大学茂名医院(茂名市中医院),广东 茂名 525000

腺样体 非轮廓化切除术 轮廓化切除术 等离子消融术 低通气指数

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)